The False Claims Act enables a private citizen with unique knowledge of fraud committed against the federal government (such as health care fraud, contract fraud, and tax fraud) to file a lawsuit under seal (not accessible to the public) seeking treble (triple the amount) damages on behalf of the government... Read more about the False Claims Act
Dynasplint Systems Inc. and its founder/president George Hepburn have agreed to pay $10.3 million to resolve allegations that they knowingly submitted or caused the submission of false claims to federal health care program Medicare for splints provided to patients in skilled nursing facilities, the U.S. Department of Justice announced last week.
The government alleged that Hepburn and Dynasplint knowingly mischarged Medicare for splints used by patients in Medicare-certified skilled nursing... full text
The federal government recovered more than $3.5 billion taxpayer dollars in fraud and false claims cases in the 2015 fiscal year, the U.S. Department of Justice announced last week. This is the fourth year in a row that the department has exceeded $3.5 billion in cases under the False Claims Act and brings total recoveries from January 2009 to the end of the fiscal year to $26.4 billion.
Of the $3.5 billion recovered last year, $1.9 billion came from companies and individuals in the... full text
Education Management Corp. (EDMC), the second-largest for-profit educational company in the United States of America, will pay $95.5 million to settle allegations that EDMC knowingly submitted or caused the submission of false claims by falsely certifying that it was in compliance with Title IV of the Higher Education Act (HEA) and parallel state statutes.
The primary allegation was that EDMC unlawfully recruited students, in contravention of the HEA’s Incentive Compensation Ban (... full text
NetCracker Technology Corp. has agreed to pay $11.4 million and Computer Sciences Corp. has agreed to pay $1.35 million to resolve allegations that the companies knowingly submitted or caused the submission of false claims by sending individuals without security clearances on a Defense Systems Information Agency (DISA) contract, the U.S. Department of Justice announced earlier this month. NetCracker is a telecom software and services company headquartered in Waltham, Massachusetts, and... full text
The U.S. Department of Justice announced last month that 457 hospitals in 43 states have agreed to a settlement of $250 million to resolve allegations that they knowingly submitted or caused the submission of false claims to federal health care program Medicare.
An implantable cardioverter defibrillator, or ICD, is an electronic device that is implanted near and connected to the heart. It detects and treats chaotic, extremely fast, life-threatening heart rhythms, called fibrillations, by... full text
Warner Chilcott U.S. Sales LLC, a subsidiary of pharmaceutical manufacturer Warner Chilcott PLC, has agreed to plead guilty to a felony charge of health care fraud, the U.S. Department of Justice announced last week. The plea agreement is part of a global settlement with the United States in which Warner Chilcott has agreed to pay $125 million to resolve its criminal and civil liability arising from the company’s illegal marketing of the drugs Actonel®, Asacol®, Atelvia... full text
The federal government has elected to intervene in three False Claims Act lawsuits against SavaSeniorCare LLC and related entities (Sava), alleging that Sava knowingly submitted or caused the submission of false claims to Medicare for rehabilitation therapy services that were not medically reasonable and necessary, the U.S. Department of Justice announced yesterday. Sava is one of the nation’s largest healthcare providers, operating approximately 200 skilled nursing facilities (SNFs... full text
Millennium Health has agreed to pay $246 million to resolve allegations that Millennium knowingly submitted or caused the submission of false claims for medically unnecessary urine drug and genetic testing and for providing free items to physicians who agreed to refer expensive laboratory testing business to Millennium, the U.S. Department of Justice announced last week. Millennium, headquartered in San Diego, is one of the largest urine drug testing laboratories in the United States and... full text
The U.S. Department of Justice announced last week that it has resolved a $237 million judgment against Tuomey Healthcare System for knowingly submitting or causing the submission of false claims to Medicare for services referred by physicians with whom the hospital had improper financial relationships. Under the terms of the settlement agreement, the United States will receive $72.4 million and Tuomey, based in Sumter, South Carolina, will be sold to Palmetto Health, a multi-hospital... full text
The Boeing Company has agreed to pay the federal government $18 million to settle allegations that the company knowingly submitted or caused the submission of false claims for labor charges on maintenance contracts with the U.S. Air Force for the C-17 Globemaster aircraft, the U.S. Department of Justice announced earlier this week.
The government alleged that Boeing improperly charged labor costs under contracts with the Air Force for the maintenance and repair of C-17 Globemaster aircraft at... full text
